Choroidal neovascularisation following inverted internal limiting membrane flap technique for idiopathic macular hole: a case for modified flaps

BMJ Case Rep. 2021 Jan 18;14(1):e238604. doi: 10.1136/bcr-2020-238604.

Abstract

A 70-year-old woman presented with sudden decrease of vision 2 months following a successful vitrectomy with inverted internal limiting membrane flap for a full thickness macular hole. Serial review of fundus pictures and optical coherence tomography scans revealed a focal retinal pigment epithelial disruption at the site of the macular hole after surgery and a choroidal neovascular membrane arising from the same. This report describes the possible role of the surgical technique in causation of the membrane and discusses modifications to avoid the same.

Keywords: Macula; Ophthalmology; Retina.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Choroidal Neovascularization / diagnostic imaging*
  • Choroidal Neovascularization / etiology*
  • Choroidal Neovascularization / surgery
  • Female
  • Humans
  • Retinal Perforations / surgery*
  • Tomography, Optical Coherence
  • Vitrectomy / adverse effects*